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贺 旭, 郭 柴, 刘 轩, 王 玉, 梁 紫, 连 小, 胡 银, 黄 棣, 魏 延. [Progress in antibacterial coatings of titanium implants surfaces]. SHENG WU YI XUE GONG CHENG XUE ZA ZHI = JOURNAL OF BIOMEDICAL ENGINEERING = SHENGWU YIXUE GONGCHENGXUE ZAZHI 2024; 41:191-198. [PMID: 38403621 PMCID: PMC10894730 DOI: 10.7507/1001-5515.202209051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 12/31/2023] [Indexed: 02/27/2024]
Abstract
In recent years, bone implant materials such as titanium and titanium alloys have been widely used in the biomedical field due to their excellent mechanical properties and good biocompatibility. However, in clinical practice, bacterial adhesion to the material surface and postoperative infection issues may lead to implantation failure. Based on the antibacterial mechanism, this review elaborated on the antibacterial surface design of titanium implants from the aspects of anti-bacterial adhesion, contact sterilization and photocontrol sterilization. Surface modification of titanium or titanium-based alloy implants with different techniques can inhibit bacteria and promote osseointegration. Thus, the application range of multifunctional titanium-based implants in the field of orthopedics will be expanded.
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Affiliation(s)
- 旭宏 贺
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
| | - 柴琼 郭
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
| | - 轩妤 刘
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
| | - 玉辉 王
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
| | - 紫微 梁
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
- 太原理工大学 生物医学工程研究所(太原 030024)Institute of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, P. R. China
| | - 小洁 连
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
- 太原理工大学 生物医学工程研究所(太原 030024)Institute of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, P. R. China
| | - 银春 胡
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
- 太原理工大学 生物医学工程研究所(太原 030024)Institute of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, P. R. China
| | - 棣 黄
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
- 太原理工大学 生物医学工程研究所(太原 030024)Institute of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, P. R. China
| | - 延 魏
- 太原理工大学 生物医学工程学院 生物医学工程系 纳米生物材料与再生医学研究中心(太原 030024)Department of Biomedical Engineering, College of Biomedical Engineering, Taiyuan University of Technology, Research Center for Nanobiomaterials and Regenerative Medicine, Taiyuan 030024, P. R. China
- 太原理工大学 生物医学工程研究所(太原 030024)Institute of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, P. R. China
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Durdu S, Sivlin D, Ozcan K, Kalkan S, Keles O, Usta M. Surface characterization and antibacterial efficiency of well-ordered TiO 2 nanotube surfaces fabricated on titanium foams. Sci Rep 2024; 14:618. [PMID: 38182771 PMCID: PMC10770057 DOI: 10.1038/s41598-024-51339-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 01/03/2024] [Indexed: 01/07/2024] Open
Abstract
Titanium (Ti)-based implants are not compatible enough due to their bio-inert character, insufficient antibacterial capabilities and stress-shielding problem for dental and orthopaedic implant applications. Thus, this work focused to fabricate, analyze and improve antibacterial properties titanium dioxide (TiO2) nanotube array surfaces on Ti foam by anodic oxidation (AO) process. The well-ordered nanotube arrays with approximately 75 nm were successfully fabricated at 40 V for 1 h on Ti foams. Ti and O were observed as major elements on AO-coated Ti foam surfaces. In addition, the existence of TiO2 structure was proved on AO-coated foam Ti surfaces. For potential dental and orthopedic implant application, in vitro antibacterial properties were investigated versus Staphylococcus aureus and Escherichia coli. For both bacteria, antibacterial properties of TiO2 nanotube surface were greater than bare Ti foam. The bacterial inhibition versus Staphylococcus aureus and Escherichia coli of TiO2 nanotube surfaces are improved as 53.3% and 69.4% compared to bare Ti foam.
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Affiliation(s)
- Salih Durdu
- Department of Industrial Engineering, Engineering Faculty, Giresun University, 28200, Giresun, Turkey.
| | - Dila Sivlin
- Department of Materials and Metallurgical Engineering, Istanbul Technical University, 34469, Istanbul, Turkey
| | - Kadriye Ozcan
- Department of Genetics and Bioengineering, Giresun University, 28200, Giresun, Turkey
| | - Selin Kalkan
- Department of Bioprocess Engineering, Giresun University, 28200, Giresun, Turkey
| | - Ozgul Keles
- Department of Materials and Metallurgical Engineering, Istanbul Technical University, 34469, Istanbul, Turkey.
| | - Metin Usta
- Department of Materials Science and Engineering, Gebze Technical University, 41400, Gebze/Kocaeli, Turkey.
- Aluminum Research Center (GTU-AAUM), Gebze Technical University, 41400, Gebze, Turkey.
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Luu CH, Nguyen NT, Ta HT. Unravelling Surface Modification Strategies for Preventing Medical Device-Induced Thrombosis. Adv Healthc Mater 2024; 13:e2301039. [PMID: 37725037 DOI: 10.1002/adhm.202301039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 08/29/2023] [Indexed: 09/21/2023]
Abstract
The use of biomaterials in implanted medical devices remains hampered by platelet adhesion and blood coagulation. Thrombus formation is a prevalent cause of failure of these blood-contacting devices. Although systemic anticoagulant can be used to support materials and devices with poor blood compatibility, its negative effects such as an increased chance of bleeding, make materials with superior hemocompatibility extremely attractive, especially for long-term applications. This review examines blood-surface interactions, the pathogenesis of clotting on blood-contacting medical devices, popular surface modification techniques, mechanisms of action of anticoagulant coatings, and discusses future directions in biomaterial research for preventing thrombosis. In addition, this paper comprehensively reviews several novel methods that either entirely prevent interaction between material surfaces and blood components or regulate the reaction of the coagulation cascade, thrombocytes, and leukocytes.
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Affiliation(s)
- Cuong Hung Luu
- School of Environment and Science, Griffith University, Nathan, Queensland, 4111, Australia
- Queensland Micro- and Nanotechnology Centre, Griffith University, Nathan, Queensland, 4111, Australia
| | - Nam-Trung Nguyen
- School of Environment and Science, Griffith University, Nathan, Queensland, 4111, Australia
- Queensland Micro- and Nanotechnology Centre, Griffith University, Nathan, Queensland, 4111, Australia
| | - Hang Thu Ta
- School of Environment and Science, Griffith University, Nathan, Queensland, 4111, Australia
- Queensland Micro- and Nanotechnology Centre, Griffith University, Nathan, Queensland, 4111, Australia
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Wen X, Liu Y, Xi F, Zhang X, Kang Y. Micro-arc oxidation (MAO) and its potential for improving the performance of titanium implants in biomedical applications. Front Bioeng Biotechnol 2023; 11:1282590. [PMID: 38026886 PMCID: PMC10662315 DOI: 10.3389/fbioe.2023.1282590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 10/18/2023] [Indexed: 12/01/2023] Open
Abstract
Titanium (Ti) and its alloys have good biocompatibility, mechanical properties and corrosion resistance, making them attractive for biomedical applications. However, their biological inertness and lack of antimicrobial properties may compromise the success of implants. In this review, the potential of micro-arc oxidation (MAO) technology to create bioactive coatings on Ti implants is discussed. The review covers the following aspects: 1) different factors, such as electrolyte, voltage and current, affect the properties of MAO coatings; 2) MAO coatings affect biocompatibility, including cytocompatibility, hemocompatibility, angiogenic activity, corrosion resistance, osteogenic activity and osseointegration; 3) antibacterial properties can be achieved by adding copper (Cu), silver (Ag), zinc (Zn) and other elements to achieve antimicrobial properties; and 4) MAO can be combined with other physical and chemical techniques to enhance the performance of MAO coatings. It is concluded that MAO coatings offer new opportunities for improving the use of Ti and its alloys in biomedical applications, and some suggestions for future research are provided.
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Affiliation(s)
- Xueying Wen
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China
| | - Yan Liu
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China
| | - Fangquan Xi
- School of Mechanical Engineering and Automation, Northeastern University, Shenyang, China
| | - Xingwan Zhang
- School of Mechanical Engineering and Automation, Northeastern University, Shenyang, China
| | - Yuanyuan Kang
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China
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Hu X, Ke C, Zhong J, Chen Y, Dong J, Hao M, Chen Q, Ni J, Peng Z. Nano selenium-doped TiO 2 nanotube arrays on orthopedic implants for suppressing osteosarcoma growth. Front Bioeng Biotechnol 2023; 11:1252816. [PMID: 37731757 PMCID: PMC10508061 DOI: 10.3389/fbioe.2023.1252816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 08/18/2023] [Indexed: 09/22/2023] Open
Abstract
Osteosarcoma, the most common primary malignant bone tumor, is characterized by malignant cells producing osteoid or immature bone tissue. Most osteosarcoma patients require reconstructive surgery to restore the functional and structural integrity of the injured bone. Metal orthopedic implants are commonly used to restore the limb integrity in postoperative patients. However, conventional metal implants with a bioinert surface cannot inhibit the growth of any remaining cancer cells, resulting in a higher risk of cancer recurrence. Herein, we fabricate a selenium-doped TiO2 nanotube array (Se-doped TNA) film to modify the surface of medical pure titanium substrate, and evaluate the anti-tumor effect and biocompatibility of Se-doped TNA film. Moreover, we further explore the anti-tumor potential mechanism of Se-doped TNA film by studying the behaviors of human osteosarcoma cells in vitro. We provide a new pathway for achieving the anti-tumor function of orthopedic implants while keeping the biocompatibility, aiming to suppress the recurrence of osteosarcoma.
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Affiliation(s)
- Xiaodong Hu
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
| | - Chunhai Ke
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
| | - Jiaqi Zhong
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
| | - Yujiong Chen
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
| | - Jieyang Dong
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
| | - Mingming Hao
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
- Ningbo Institute of Innovation for Combined Medicine and Engineering (NIIME), Ningbo Medical Centre Lihuili Hospital, Ningbo University, Ningbo, China
| | - Qi Chen
- Ningbo Regen Biotech, Co, Ltd, Ningbo, Zhejiang, China
| | - Jiahua Ni
- Ningbo Regen Biotech, Co, Ltd, Ningbo, Zhejiang, China
| | - Zhaoxiang Peng
- Affiliated Li Huili Hospital, Ningbo University, Ningbo, China
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Durdu S, Cihan G, Yalcin E, Cavusoglu K, Altinkok A, Sagcan H, Yurtsever İ, Usta M. Surface characterization, electrochemical properties and in vitro biological properties of Zn-deposited TiO 2 nanotube surfaces. Sci Rep 2023; 13:11423. [PMID: 37452093 PMCID: PMC10349054 DOI: 10.1038/s41598-023-38733-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 07/13/2023] [Indexed: 07/18/2023] Open
Abstract
In this work, to improve antibacterial, biocompatible and bioactive properties of commercial pure titanium (cp-Ti) for implant applications, the Zn-deposited nanotube surfaces were fabricated on cp-Ti by using combined anodic oxidation (AO) and physical vapor deposition (PVD-TE) methods. Homogenous elemental distributions were observed through all surfaces. Moreover, Zn-deposited surfaces exhibited hydrophobic character while bare Ti surfaces were hydrophilic. Due to the biodegradable behavior of Zn on the nanotube surface, Zn-deposited nanotube surfaces showed higher corrosion current density than bare cp-Ti surface in SBF conditions as expected. In vitro biological properties such as cell viability, ALP activity, protein adsorption, hemolytic activity and antibacterial activity for Gram-positive and Gram-negative bacteria of all surfaces were investigated in detail. Cell viability, ALP activity and antibacterial properties of Zn-deposited nanotube surfaces were significantly improved with respect to bare cp-Ti. Moreover, hemolytic activity and protein adsorption of Zn-deposited nanotube surfaces were decreased. According to these results; a bioactive, biocompatible and antibacterial Zn-deposited nanotube surfaces produced on cp-Ti by using combined AO and PVD techniques can have potential for orthopedic and dental implant applications.
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Affiliation(s)
- Salih Durdu
- Industrial Engineering, Faculty of Engineering, Giresun University, Merkez, 28200, Giresun, Turkey.
- Mechanical Engineering, Giresun University, 28200, Giresun, Turkey.
| | - Gizem Cihan
- Department of Biology, Giresun University, 28200, Giresun, Turkey
| | - Emine Yalcin
- Department of Biology, Giresun University, 28200, Giresun, Turkey
| | | | - Atilgan Altinkok
- Turkish Naval Academy, National Defence University, 34940, Istanbul, Turkey
| | - Hasan Sagcan
- Department of Medical Laboratory Techniques, Istanbul Medipol University, Istanbul, Turkey
| | - İlknur Yurtsever
- Department of Medical Laboratory Techniques, Istanbul Medipol University, Istanbul, Turkey
- Pharmacology and Toxicology Department, Boonshoft School of Medicine Ohio, Wright State University, Dayton, USA
| | - Metin Usta
- Materials Science and Engineering, Gebze Technical University, 41400, Gebze, Turkey
- Aluminum Research Center (GTU-AAUM), Gebze Technical University, 41400, Gebze, Turkey
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